IndividualActive
David Widitz, MD
NPI 1205015906 · Child & Adolescent Psychiatry Physician · Council Bluffs, IA
Provider details
- NPI number
- 1205015906
- Entity type
- Individual
- Primary specialty
- Child & Adolescent Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 036166942 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
421 W Broadway Ste 302
Council Bluffs, IA 51503-9046
Phone: (319) 208-2744
Fax: (319) 208-2627
Approximate (ZIP-level) locationGet directions
Mailing address
421 W Broadway Ste 302
Council Bluffs, IA 51503-9046
Additional practice locations (2)
- 707 N Logan AveDanville, IL 61832-4360Phone: (217) 431-7117Fax: (217) 477-4754
- 101 Oliver StVienna, IL 62995-1660Phone: (618) 658-3079Fax: (618) 658-2759
Registry dates
- Enumerated
- 2007-10-30
- Last updated
- 2024-02-01
- Certified
- 2024-02-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.